Posts

Why are philosophy and science important to a practice discipline?

/in /by

Nursing homework help

Philosophy and Science in a Practice Discipline 

A nurse enters a patient’s room to check her vitals and spends some time talking with the patient’s family how they are doing.

Later that day, another nurse responds to the patient’s call button; she becomes concerned when she discovers that the patient is running a fever and is in pain despite receiving the medication that has been ordered for her. She recalls a similar instance with a different patient, and keeps that in mind as she asks the patient about how she is feeling.
These seemingly simple actions are guided by philosophy—each nurse’s view of nursing and appropriate patient care.
Do you, personally, think nursing should rely solely on biological science? Or do you think it is important for nursing to incorporate a broader, more holistic approach to care? How do you know what you know? What sources of information are most significant to you? How should you determine what types of research are applicable to nursing practice?

To prepare:

  • Reflect on your professional experiences, and assess how philosophy and science influences nursing practice.
  • Consider how the scientific method is supported by philosophy, and how it influences nursing knowledge. 

By tomorrow 5/31/17, post 550 words essay in APA format with 3 references from the list below, that include the level one heading as numbered below:

post a cohesive response that addresses the following:

1)       Why are philosophy and science important to a practice discipline?

2)       How do they legitimize the nursing profession?

3)       Provide examples from your nursing practice that demonstrate how the scientific method influences nursing knowledge.

Required Readings

McEwin, M., & Wills, E.M. (2014). Theoretical basis for nursing. (4th ed.). Philadelphia, PA: Wolters Kluwer Health.

Chapter 1, “Philosophy, Science, and Nursing”

Chapter 1 introduces the scientific and philosophical foundations of nursing and how these contribute to knowledge development within the discipline of nursing.

 

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

Chapter 1, “Discovering the World of Nursing Research”

Chapter 1 introduces nursing research and discusses how science, theory, and philosophy all influence research.

Chapter 2, “Evolution of Research in Building Evidence-Based Nursing Practice”

Chapter 2 reviews the history of nursing research beginning with the work of Florence Nightingale and examines the influence of nursing research today on evidence-based practice.

How can graphics and/or statistics be used to misrepresent data?

/in /by

Nursing homework help

how much would it cost to do the following:

How can graphics and/or statistics be used to misrepresent data? Where have you seen this done?

What are the characteristics of a population for which it would be appropriate to use mean/median/mode? When would the characteristics of a population make them inappropriate to use?


Questions to Be Graded: Exercises 6, 8 and 9

Complete Exercises 6, 8, and 9 in Statistics for Nursing Research: A Workbook for Evidence-Based Practice, and submit as directed by the instructor.

80.0
 Questions to Be Graded: Exercise 27

Use MS Word to complete “Questions to be Graded: Exercise 27” in Statistics for Nursing Research: A Workbook for Evidence-Based Practice. Submit your work in SPSS by copying the output and pasting into the Word document. In addition to the SPSS output, please include explanations of the results where appropriate.

Copyright © 2017, Elsevier Inc. All rights reserved. 67 EXERCISE 6 Questions to Be Graded Follow your instructor ’ s directions to submit your answers to the following questions for grading. Your instructor may ask you to write your answers below and submit them as a hard copy for grading. Alternatively, your instructor may ask you to use the space below for notes and submit your answers online at http://evolve.elsevier.com/Grove/statistics/ under “Questions to Be Graded.”

Name: _______________________________________________________

Class: _____________________

Date: ___________________________________________________________________________________ 68EXERCISE 6 •

1. What are the frequency and percentage of the COPD patients in the severe airfl ow limitation group who are employed in the Eckerblad et al. (2014) study?

2. What percentage of the total sample is retired? What percentage of the total sample is on sick leave?

3. What is the total sample size of this study? What frequency and percentage of the total sample were still employed? Show your calculations and round your answer to the nearest whole percent.

4. What is the total percentage of the sample with a smoking history—either still smoking or former smokers? Is the smoking history for study participants clinically important? Provide a rationale for your answer.

5. What are pack years of smoking? Is there a signifi cant difference between the moderate and severe airfl ow limitation groups regarding pack years of smoking? Provide a rationale for your answer.

6. What were the four most common psychological symptoms reported by this sample of patients with COPD? What percentage of these subjects experienced these symptoms? Was there a sig-nifi cant difference between the moderate and severe airfl ow limitation groups for psychological symptoms?

7. What frequency and percentage of the total sample used short-acting β 2 -agonists? Show your calculations and round to the nearest whole percent.

8. Is there a signifi cant difference between the moderate and severe airfl ow limitation groups regarding the use of short-acting β 2 -agonists? Provide a rationale for your answer.

9. Was the percentage of COPD patients with moderate and severe airfl ow limitation using short-acting β 2 -agonists what you expected? Provide a rationale with documentation for your answer.

10. Are these fi ndings ready for use in practice? Provide a rationale for your answer.

Identify components of scientific merit

/in /by

Nursing homework help

 

Note: You are required to complete this discussion before submitting the unit assignment.

For this discussion, complete the following:

1. Describe the background of your study.

2. Demonstrate how answering your research question will advance scientific knowledge base.

3. Discuss the implications and contributions of your study to your specialization.

4. Be sure to include in-text citations from the academic literature on your chosen topic.

Once you have received feedback from other learners, complete the unit assignment based on your revised discussion post.

Readings

Use your Qualitative Inquiry and Research Design text to complete the following:

Review Chapter 3, “Designing a Qualitative Study.” Focus on the subsection, “The Design Structures of a Plan or Proposal.”

Read Chapter 6, “Introducing and Focusing the Study,” pages 127–146.

a.  Focus on the following subsections:

1. “Introducing and Focusing the Study.”

2. “The Research Problem Statement.”

Review Percy, Kostere, and Kostere’s 2015 article, “Generic Qualitative Research in Psychology,” from The Qualitative Report, volume 20, issue 2, pages 76–85.

Library Search

Use the library to conduct a brief literature review related to your chosen topic, in preparation for describing the background and addressing how the research  question will advance the scientific knowledge base. You will use this literature review in the unit discussion.

Read the Transcript –  Qualitative Research Proposal 

This illustration help to guide you as you develop the various components of your course project. Boxcars are added to the train as you progress through the course. Each boxcar provides information regarding the development of

individual components of a research proposal.

INTRODUCTION – Advancing Scientific Knowledge, Implications, and Contributions

When choosing a topic for the development of a qualitative study, it is essential that the topic meet the criteria of advancing scientific knowledge within the academic discipline. The issues that need to be addressed are the following:

Will the study advance the scientific knowledge base?

Is the study grounded in the discipline?

Does the study address something that is not known, something that is new or different from prior research, something that extends prior research, or something that fills a gap in the existing literature?

What are the theoretical and practical implications of the study?

How does the study contribute to the discipline?

OBJECTIVES

To successfully complete this learning unit, you will be expected to:

1. Identify components of scientific merit (advances the knowledge base, contributes to theories, and meets the hallmarks of good research).

2. Critically evaluate the individual components of scientific merit of research studies.

3. Demonstrate how answering a specific research question will advance scientific knowledge base.

Post an explanation of how the use of cognitive behavioral therapy (CBT) in families compares to cognitive behavioral therapy (CBT) in individual settings

/in /by

Nursing homework help

Discussion: Cognitive Behavioral Therapy: Family Settings Versus Individual 

                           Settings

Whether used with individuals or families, the goal of cognitive behavioral therapy (CBT) is to modify client behavior. Although CBT for families is similar to CBT for individuals, there are significant differences in their applications. As you develop treatment plans, it is important that you recognize these differences and how they may impact your therapeutic approach with families. For this Discussion, as you compare the use of CBT for families and individuals, consider challenges of applying this therapeutic approach to your own client families.

                                                                       To prepare:

· Review the media, Johnson Family Session 3, in this week’s Learning Resources

and consider the insights provided on CBT in family therapy.

· Reflect on your practicum experiences with CBT in family and individual settings.

N: B. The video for Johnson Family Episode 3 Program Transcript is ATTACHED 

            WITH THIS ASSIGNMENT INCASE YOU CAN NOT ACCESS THE VIDEO.

                                                                   ASSIGNMENT

Post an explanation of how the use of cognitive behavioral therapy (CBT) in families compares to cognitive behavioral therapy (CBT) in individual settings. Provide specific examples from your own practicum experiences. Then, explain challenges counselors might encounter when using CBT in the family setting. Support your position with specific examples from this week’s media.

                                                                   Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.

  • Chapter      12, “Family Therapy” (Review pp. 429–468.)

Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.

  • Chapter 10, “Cognitive-Behavior Family Therapy” (pp.      166–189)
  • Chapter      12, “Solution-Focused Therapy” (pp. 225–242)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Bond, C., Woods, K., Humphrey, N., Symes, W., & Green, L. (2013). Practitioner review: The effectiveness of solution focused brief therapy with children and families: A systematic and critical evaluation of the literature from 1990–2010. Journal of Child Psychology & Psychiatry, 54(7), 707–723. doi:10.1111/jcpp.12058

Explain curative factors that occurred in the group

/in /by

Nursing homework help

                                          Group Processes

Group therapy is an effective treatment option for a wide range of disorders and is much more cost-efficient than individual therapy. As a result, many insurance companies are showing preference for group therapy over individual therapy. This has led to more therapists including group therapy in their practices, making it very likely that you will facilitate group therapy in the future. To successfully develop groups and apply this therapeutic approach, it is essential for you to have an understanding of group processes and formation.

This week, as you examine group processes and stages of formation, you explore curative factors of groups and strategies for managing intragroup conflict. You also assess progress for a client family receiving psychotherapy and develop progress and privileged psychotherapy notes for the family.

 

                         Assignment: Group Processes and Stages of Formation

In your role, you must understand group processes and stages of formation, as this will help you develop groups and determine an individual’s appropriateness for group therapy. Whether you are at the beginning stages of group formation or facilitating a session for a developed group, it is important to consider factors that may influence individual client progress.

For this Assignment, as you examine the video Group Therapy: A Live Demonstration in this week’s Learning Resources, consider the group’s processes, stages of formation, and other factors that might impact the effectiveness of group therapy for clients.

                                                                                To prepare:

· Review this week’s Learning Resources and reflect on the insights they provide

on group processes.

· View the media, Group Therapy: A Live Demonstration, and consider the group

dynamics. (THE VIDEO TRANSCRIPT IS ATTACHED TO THIS ASSIGNMENT)

                                                           

                                               The Assignment

In 3-page paper, address the following:

· Explain the group’s processes and stage of formation.

· Explain curative factors that occurred in the group. Include how these factors

might impact client progress.

· Explain intragroup conflict that occurred and recommend strategies for

managing the conflict. Support your recommendations with evidence-based

literature.

Explain any legal and/or ethical implications related to counseling each client.

/in /by

Nursing homework help

                      Assignment: Practicum – Week 5 Journal Entry

Select two clients you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session.

Then, address in your Practicum Journal the following:

· Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session. (ALSO SEE ATTACHED Group Therapy Progress Note)

· Describe each client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.

· Using the DSM-5, explain and justify your diagnosis for each client.

· Explain whether solution-focused or cognitive behavioral therapy would be more effective with this family. Include expected outcomes based on these therapeutic approaches.

· Explain any legal and/or ethical implications related to counseling each client.

· Support your approach with evidence-based literature.

                                                                     Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.

  • Chapter 12, “Family Therapy” (Review pp.      429–468.)

Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.

  • Chapter 10,      “Cognitive-Behavior Family Therapy” (pp. 166–189)
  • Chapter 12, “Solution-Focused Therapy” (pp.      225–242)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Bond, C., Woods, K., Humphrey, N., Symes, W., & Green, L. (2013). Practitioner review: The effectiveness of solution focused brief therapy with children and families: A systematic and critical evaluation of the literature from 1990–2010. Journal of Child Psychology & Psychiatry, 54(7), 707–723. doi:10.1111/jcpp.12058

Conoley, C., Graham, J., Neu, T., Craig, M., O’Pry, A., Cardin, S., & … Parker, R. (2003). Solution-focused family therapy with three aggressive and oppositional-acting children: An N=1 empirical study. Family Process, 42(3), 361–374. doi:10.1111/j.1545-5300.2003.00361.x

de Castro, S., & Guterman, J. (2008). Solution-focused therapy for families coping with suicide. Journal of Marital & Family Therapy, 34(1), 93–106. doi:10.111/j.1752-0606.2008.00055.x

Patterson, T. (2014). A cognitive behavioral systems approach to family therapy. Journal of Family Psychotherapy, 25(2), 132–144. doi:10.1080/08975353.2014.910023

Perry, A. (2014). Cognitive behavioral therapy with couples and families. Sexual & Relationship Therapy, 29(3), 366–367. doi:10.1080/14681994.2014.909024.

Ramisch, J., McVicker, M., & Sahin, Z. (2009). Helping low-conflict divorced parents establish appropriate boundaries using a variation of the miracle question: An integration of solution-focused therapy and structural family therapy. Journal of Divorce & Remarriage, 50(7), 481–495. doi:10.1080/10502550902970587

Washington, K. T., Wittenberg-Lyles, E., Oliver, D. P., Baldwin, P. K., Tappana, J., Wright, J. H., & Demiris, G. (2014). Rethinking family caregiving: Tailoring cognitive-behavioral therapies to the hospice experience. Health & Social Work, 39(4), 244–250. doi:10.1093/hsw/hlu031

Compare the steps in the improvement model that you selected with your colleague’s.

/in /by

Nursing homework help

Discussion: Using Improvement Science Models to Promote Quality and Safety

…while all changes do not lead to improvement, all improvement requires change.

 

—United States Agency for International Development

 

Improvement science models bring together research and evidence-based practice to identify the most effective ways to promote quality and safety in health care. As a central tenet of quality improvement, attention must be paid to the processes that contribute to outcomes.

In this Discussion, you examine quality improvement models and evaluate how they could be applied to address specific issues within health care organizations.

To prepare:

 Review the improvement models presented in the Learning Resources.

Evaluate each of the models and select two on which to focus for this Discussion.

Consider how each of the two models could be utilized in a health care organization to promote quality and safety. Think about the following:

How does the model bring together research and evidence-based practice to facilitate quality improvement?

How does the model contribute to a culture of quality and safety?

How does it address changes in process?

Reflect on the quality improvement issue and the health care setting that you are addressing for your Course Project. Of the two models that you have selected, determine which one you, as a nurse leader-manager, would use to address this issue. Also consider how this would relate to one or more of the IOM’s six aims for quality and safety.

 

Post your analysis of how the two improvement models that you selected could foster a culture of quality and patient safety and facilitate changes in process that promote positive outcomes. Explain how you would use one of these models to address the quality improvement issue in the organization that you have selected for your Course Project, and how doing so would relate to one or more of the IOM’s six aims for improving quality and safety.

 

Read a selection of your colleagues’ responses.

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Offer additional strategies for using your colleague’s selected model to address the IOM’s six aims for quality.

Share insights for engaging frontline staff using your colleague’s selected improvement model.

Compare the steps in the improvement model that you selected with your colleague’s.

Suggest an alternative model for your colleague to utilize in his or her identified health care organization.

Discuss the dangers of failing to consider the validity of a research study

/in /by

Nursing homework help

Validity in Quantitative Research Designs

Validity in research refers to the extent researchers can be confident that the cause and effect they identify in their research are in fact causal relationships. If there is low validity in a study, it usually means that the research design is flawed and the results will be of little or no value. Four different aspects of validity should be considered when reviewing a research design: statistical conclusion validity, internal validity, construct validity, and external validity. In this Discussion, you consider the importance of each of these aspects in judging the validity of quantitative research.

 

To prepare:

 

  • Review the information in Chapter 10 of the course text on rigor and validity.
  • Read the method section of one of the following quasi-experimental studies (also located in this week’s Learning Resources). Identify at least one potential concern that could be raised about the study’s internal validity.
    • Metheny, N. A., Davis-Jackson, J., & Stewart, B. J. (2010). Effectiveness of an aspiration risk-reduction protocol. Nursing Research, 59(1), 18–25.
    • Padula, C. A., Hughes, C., & Baumhover, L. (2009). Impact of a nurse-driven mobility protocol on functional decline in hospitalized older adults. Journal of Nursing Care Quality, 24(4), 325–331.
    • Yuan, S., Chou, M., Hwu, L., Chang, Y., Hsu, W., & Kuo, H. (2009). An intervention program to promote health-related physical fitness in nurses. Journal of Clinical Nursing, 18(10), 1,404–1,411.
  • Consider strategies that could be used to strengthen the study’s internal validity and how this would impact the three other types of validity.
  • Think about the consequences of an advanced practice nurse neglecting to consider the validity of a research study when reviewing the research for potential use in developing an evidence-based practice.

 

Post on or before Day 3 (1) the title of the study that you selected and your analysis of the potential concerns that could be raised about the study’s internal validity. (2) Propose recommendations to strengthen the internal validity and assess the effect your changes could have with regard to the other three types of validity.(3) Discuss the dangers of failing to consider the validity of a research study

Contrast the types of information that you gained from examining the two different research approaches in the articles that you selected.

/in /by

Nursing homework help

Application: Critiquing Quantitative, Qualitative, or Mixed Methods Studies

Critiquing the validity and robustness of research featured in journal articles provides a critical foundation for engaging in evidence-based practice. In Weeks 5 and 6, you explored quantitative research designs. In Week 7, you will examine qualitative and mixed methods research designs. For this Assignment, which is due by Day 7 of Week 7, you critique a quantitative and either a qualitative or a mixed methods research study and compare the types of information obtained in each.

 

To prepare:

 

  • Select a health topic of interest to you that is relevant to your current area of practice. The topic may be your Course Portfolio Project or a different topic of your choice.

    Using the Walden Library, locate two articles in scholarly journals that deal with your portfolio topic:  (does hand washing and appropriate staff dressing among the surgical ward nurses reduce cross infection during patient management?) 1) Select one article that utilizes a quantitative research design and 2)  select a second article  that utilizes either a qualitative OR  a mixed methods design.  These need to be single studies not systematic or integrative reviews (including meta-analysis and metasynthesis). You may use research articles from your reference list. If you cannot find these two types of research on your portfolio topic, you may choose another topic.

  • Locate the following documents in this week’s Learning Resources to access the appropriate templates, which will guide your critique of each article:
    • Critique Template for a Qualitative Study
    • Critique Template for a Quantitative Study
    • Critique Template for a Mixed-Methods Study
  • Consider the fields in the templates as you review the information in each article.
  • Begin to draft a paper in which you analyze the two research approaches as indicated below.
  • Reflect on the overall value of both quantitative and qualitative research. If someone were to say to you, “Qualitative research is not real science,” how would you respond?

    To complete this Assignment:

 

  • Complete the two critiques using the appropriate templates (see attached files).
  • Write a 2- to 3-page paper that addresses the following:
    • Contrast the types of information that you gained from examining the two different research approaches in the articles that you selected.
    • Describe the general advantages and disadvantages of the two research approaches featured in the articles. Use examples from the articles for support.
    • Formulate a response to the claim that qualitative research is not real science. Highlight the general insights that both quantitative and qualitative studies can provide to researchers. Support your response with references to the Learning Resources and other credible sources.

      As you complete this Assignment, remember to:

 

  • Submit your paper to Grammarly and Turnitin through the Walden Writing Center. Based on the Grammarly and Turnitin reports, revise your paper as necessary.
  • Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The School of Nursing Sample Paper provided at the Walden Writing Center provides an example of those required elements (available from the Walden University website found in this week’s Learning Resources). All papers submitted must use this formatting.
  • Combine all three parts of this assignment into one Word document including both critique templates and the narrative with your references.  Submit this combined document.

     

Explain how you might impact social change through your work with clients who have mental health issues.

/in /by

Nursing homework help

Assignment 4: Practicum – Week 10 Journal Entry

Reflect on your overall practicum experience in this course. Then, address the following in your Practicum Journal.

: Explain whether your therapeutic theory has changed as a result of your

practicum experiences. Recall the theories you selected in Week 1 which is (Psychodynamic

Theory & Cognitive Theory)

: Explain how you integrated the therapeutic approaches from this course in your

clinical practice. Include how this helped you achieve the goals and objectives

you developed in Week 1 ( For this assignment, just make up any goals)

: Explain how you might impact social change through your work with clients who

have mental health issues.

: Support your approach with evidence-based literature.

NOTE: PLEASE SEE AND PAY ATTENTION TO THE ATTACHED Practicum Journal Template AND JOURNAL SAMPLE (TIME LOG & JOURNAL ENTRIES) FOR WRITING THIS ASSIGNMENT…..ALSO FOR THE TIME LOG AND JOURNAL ENTRIES, JUST MAKE UP A REASONABLE INFORMATION AND CLIENT INFORMATION IN MENTAL HEALTH NURSING AND INCLUDE REFERENCES

                                                                Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company. Chapter 17, “Psychotherapy With Children” (pp. 597–624)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Bass, C., van Nevel, J., & Swart, J. (2014). A comparison between dialectical behavior therapy, mode deactivation therapy, cognitive behavioral therapy, and acceptance and commitment therapy in the treatment of adolescents. International Journal of Behavioral Consultation and Therapy, 9(2), 4–8. doi:10.1037/h0100991

Koocher, G. P. (2003). Ethical issues in psychotherapy with adolescents. Journal of Clinical Psychology, 59(11), 1247–1256. PMID:14566959

McLeod, B. D., Jensen-Doss, A., Tully, C. B., Southam-Gerow, M. A., Weisz, J. R., &

Kendall, P. C. (2016). The role of setting versus treatment type in alliance within youth therapy. Journal of Consulting and Clinical Psychology, 84(5), 453–464. doi:10.1037/ccp0000081

Zilberstein, K. (2014). The use and limitations of attachment theory in child psychotherapy. Psychotherapy, 51(1), 93–103. doi:10.1037/a0030930